KELLY DOHERTY


Address: 211 Church St, Saratoga Springs, NY 12866-1003
Phone: 5185871141

KELLY DOHERTY (NPI# 1720236656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720236656
Entity Type Individual
Full Name KELLY DOHERTY
Credential PA
Practice Address 211 Church St
Saratoga Springs
NY 12866-1003
Mailing Address 454 Maple Ave
Saratoga Springs
NY 12866-5532
Practice Telephone 5185871141
Practice Fax Number 5185871152
Mailing Telephone 5185871141
Mailing Fax Number 5185871152
Enumeration Date 2008-09-04
Last Update Date 2008-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 012678 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY PENDING 05

Other Providers KELLY DOHERTY

NPI Name Taxonomy Address Enumeration
1518147305 Kelly Lynn Doherty Chiropractor 3536 Richwood Link, Sarasota, FL 34235-7013 2007-11-08
1912552175 Kelly Ann Doherty Behavior Technician 110 Cedar St, Wellesley, MA 02481-3527 2019-08-05
1760034862 Kelly Ann Doherty Nurse Practitioner 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2019-07-10
1588642607 Kelly A Doherty Nurse Practitioner 789 Central Ave, Dover, NH 03820 2006-01-09

Office Location

Street Address 211 CHURCH ST
City SARATOGA SPRINGS
State NY
Zip Code 12866-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225442 James Edward Corwin Family Medicine 211 Church St, Saratoga Springs, NY 12866-1003 2005-06-15
1619587987 Mark F Costello IIi Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1090 2020-08-03
1578115432 Elizabeth Bogovich Nurse Practitioner 211 Church St, Saratoga Springs, NY 12866-1090 2019-07-11
1811463102 Jacquelyn Y White Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1090 2018-10-15
1790264000 Colleen Elizabeth Tillson Nurse Practitioner 211 Church St, Saratoga Springs, NY 12866-1090 2018-08-08
1649756669 Elizabeth Johnstone Social Worker 211 Church St, Saratoga Springs, NY 12866-1003 2018-07-12
1942718275 Saratoga Hospital Social Worker 211 Church St, Saratoga Springs, NY 12866-1003 2018-01-22
1427561224 Saara Johanson Anesthesiology 211 Church St, Saratoga Springs, NY 12866-1003 2017-11-15
1598277162 Joanna Amelia Robben Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2017-11-03
1285159798 Brian P. Mcdermott, D.o., P.C. Internal Medicine 211 Church St, Saratoga Springs, NY 12866-1003 2017-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286247 Rebecca Schiller Occupational Therapy Assistant 121 Lawrence St, Saratoga Springs, NY 12866 2020-08-17
1417597113 Valerie June Andrascik Physical Therapy Assistant Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 2020-01-10
1790262749 Sarah Leclerc Psychologist 1 Kempton Place, Saratoga Springs, NY 12866 2018-07-23
1386165454 Kristina James Speech-Language Pathologist 88 Monroe St, Saratoga Springs, NY 12866 2017-06-29
1255799243 Mary E Mccue Dietitian, Registered 683 Lake Ave, Saratoga Springs, NY 12866 2016-02-04
1982062261 St. Peter's Health Partners Medical Associates, PC Family Medicine 377 Church Street, Saratoga, NY 12866 2016-02-02
1811353238 Kristin Elizabeth Symmes Registered Nurse 135 South Broadway, Saratoga Springs, NY 12866 2016-01-14
1053707752 Kaitlyn Lewis Social Worker 60 Geyser Road, Saratoga Springs, NY 12866 2015-04-09
1609264746 Jessica Rose Leslie Counselor 79 Ash Street, Saratoga Springs, NY 12866 2014-12-23
1770990251 Ranjit Bhagwat Psychologist 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 2014-07-17
Find all providers in zip 12866

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699320770 Donald Jason Willows Physician Assistant 3048 S Red Pine Dr, Saratoga Springs, UT 84045-4818 2019-08-06
1467969162 Eliza Michele Miller Physician Assistant 354 Ut-73, Saratoga Springs, UT 84045 2018-01-03
1932616695 Kevin James Crockett Physician Assistant 30 E Hunters Hvn, Saratoga Springs, UT 84045-8169 2018-01-03
1679026876 Mara Petruccione Physician Assistant 21 Bradford Dr, Saratoga Springs, NY 12866-8569 2016-07-25
1730563388 Ashley Ray Physician Assistant 5 Care Ln Ste 100, Saratoga Springs, NY 12866-8623 2015-07-14
1750698858 Erica Meyers-standley Physician Assistant 1 West Ave Ste 300, Saratoga Springs, NY 12866-6050 2010-09-10
1508972654 Norman Bovee Physician Assistant 59 Myrtle St Ste 300, Saratoga Springs, NY 12866-1044 2006-08-22
1841215464 Kimberly S Mills Physician Assistant 414 Maple Ave Ste 300, Saratoga Springs, NY 12866-5533 2006-07-13
1154312593 Kathy Lynn Herren Physician Assistant 377 Church St, Saratoga Springs, NY 12866 2005-11-03
1649279555 Paul David Clarke Physician Assistant 401 Geyser Rd, Saratoga Springs, NY 12866-9069 2005-07-21
Find all providers in SARATOGA SPRINGS

Competitor

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City SARATOGA SPRINGS
Zip Code 12866

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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